Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.23 / $99.23 / $125.02	Facility	26	$99.23	$99.23	$125.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $151.16 / $213.71	Professional		$126.29	$151.16	$213.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $171.00 / $223.78	Professional		$77.18	$171.00	$223.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $184.29 / $286.39	Professional		$112.00	$184.29	$286.39
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $68.06 / $99.23 / $104.19	Facility	26	$68.06	$99.23	$104.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $146.09 / $200.47	Professional		$108.24	$146.09	$200.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $100.04 / $144.99	Professional		$59.64	$100.04	$144.99
United Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $154.52 / $213.66	Professional		$135.27	$154.52	$213.66